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Typical findings are redness, warmth, and swelling of the scrotum, with tenderness behind the testicle, away from the middle (this is the normal position of the epididymis relative to the testicle). The cremasteric reflex (elevation of the testicle in response to stroking the upper inner thigh) remains normal. [1]
Elephantiasis nostras is a disease that usually affects the lower legs or scrotum. [1] Swelling is accompanied by rough nodules or wart-like plaques on the skin. If the disease is not treated, it eventually results in pain and immobility.
[4] [2] In males, the phenomenon results in an uncomfortable testicular sensation. [5] It most often describes a temporary fluid congestion in the testicles or vulva, caused by prolonged sexual arousal without orgasm. [6] [7] The term epididymal hypertension is derived from the epididymis, a part of the male reproductive system. [8]
Cremaster is an involuntary muscle, responsible for the cremasteric reflex; a protective and physiologic superficial reflex of the testicles. The reflex raises and lowers the testicles in order to keep them protected. Along with the dartos muscle of the scrotum, it regulates testicular temperature, thus aiding the process of spermatogenesis. [1]
Testicular pain, also known as scrotal pain, occurs when part or all of either one or both testicles hurts. Pain in the scrotum is also often included. Testicular pain may be of sudden onset or of long duration. [1] [2] Causes range from non-serious muscular skeletal problems to emergency conditions such as Fournier gangrene and testicular ...
Doppler ultrasound of the scrotum, in the axial plane, showing orchitis (as part of epididymo-orchitis) as hypoechogenic and slightly heterogenic left testicular tissue (right in image), with an increased blood flow. There is also swelling of peritesticular tissue. Blood – ESR high; Urine – Cultural & Sensitivity test; Ultrasound scanning
According to Prehn's sign, the physical lifting of the testicles relieves the pain of epididymitis but not pain caused by testicular torsion. [ 4 ] Negative Prehn's sign indicates no pain relief with lifting the affected testicle, which points towards testicular torsion which is a surgical emergency and must be relieved within 6 hours.
Scrotal sagging may also be due to the swelling of the testicles, a condition known as varicocele, which causes increased blood flow and temperature of the testicles. The body's response is to lower the testicles from the body, which causes sagging. [10] Another reason for scrotal sagging is when the testicles swell and fill with fluid.
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